Dark yellow or greenish watery stools

Introduction Patients with acute enteritis have diarrhea as watery stools, ranging from several times to dozens of times a day, accompanied by stench, mostly dark yellow or greenish, with little pus and no urgency. Enteritis is intestinal inflammation and colitis caused by bacteria, viruses, fungi, and parasites. Clinical manifestations include abdominal pain, diarrhea, septic flushing or mucus pus and blood. Some patients may have fever and sensation after urgency, so it is also known as infectious diarrhea. Enteritis is divided into acute and chronic according to the length of the disease. The course of chronic enteritis is generally more than two months. Clinically common are chronic bacterial dysentery, chronic amoebic dysentery, schistosomiasis, non-specific ulcerative colitis and limited enteritis.

Cause

1. Improper diet: often due to overeating, eating too much high-fat and high-protein foods, drinking too much, drinking cold drinks, or after being cold. Or eat corrupt, polluted food, such as overnight food is not heated and disinfected, stinky fish rotten shrimp, not fresh crabs, seafood, meat in the refrigerator for a long time, fermented milk and dairy products. Mainly due to irritating, cold and spoilage food and other factors.

2. Intestinal infections: such as common halophilic bacteria, Salmonella, Escherichia coli, Proteus and Staphylococcus.

3. Systemic infections: such as typhoid fever, paratyphoid fever, hepatitis and sepsis.

4. Drug-induced: such as salicylic acid preparations, arsenic, mercury and laxatives.

5. Individual patients have an allergic reaction to food.

an examination

Related inspection

Regular gastrointestinal CT examination

(1) There is a history of overeating or eating unclean and spoiled food.

(2) acute onset, frequent nausea, vomiting, severe abdominal pain, frequent diarrhea, mostly watery stools, may contain undigested food, a small amount of mucus, and even blood.

(3) often have symptoms of fever, headache, general malaise and varying degrees of poisoning.

(4) vomiting, severe diarrhea, may have dehydration, acidosis, and even shock.

(5) Signs are not obvious, there is tenderness in the upper abdomen and umbilical cord, no muscle tension and rebound tenderness, and the bowel sounds are hyperthyroidism.

Physical and chemical examination of blood

(1) Blood test: White blood cells in blood routine can be slightly increased, and blood sedimentation is slightly increased.

(2) stool routine or culture: mostly normal, a small amount of white blood cells and red blood cells can also be seen. If the bacteria are infected, pathogenic bacteria can be found.

Differential diagnosis

Differential diagnosis of dark yellow or green watery stools:

1. The stool is grayish white, and the child's white eyes and skin are yellow, which may be biliary obstruction or biliary viscous or hepatitis.

2. Stool black, may be caused by bleeding in the upper part of the stomach or intestines or taking iron drugs to prevent and treat anemia.

3. The stool has bright red bloodshot, which may be dry stools or ruptured skin around the anus.

4. The stool is a small bean soup, which may be hemorrhagic enteritis. This happens mostly in premature infants.

5. It will be light yellow, paste-like, oily appearance, containing more milk petals and fat droplets, floating on the water surface, the amount of stool and the number of bowel movements are more, may be fat indigestion.

6. Stool yellowish brown watery sample with milk flaps, pungent smell of rotten eggs, protein indigestion.

7. The stool is egg-shaped soup, foamy, sour and heavy, and the amount is carbohydrate indigestion.

8. The frequency of stool is small, the amount is small, green or yellow-green, contains bile, with transparent silky mucus, the child has hunger performance, is insufficient for milk, and is caused by hunger; it may also be diarrhea.

9. The stool is mucous, nasal and bloody, mostly dysentery.

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